HomeMy WebLinkAboutBURLWOOD TERRACE BLK 23 LT 11$
APPLI( NT FILLS OUT UPPER HA[ ONLY
Property Owner ~,~?r~.) /y/'l /~ /L/~---'~-~)x Phone
Mailing Address J'S~::) /~ d ~--~' 7 ~) .~] F~.t.~i/~),/~ ?~_.._ ,2/~/~~ ZipCode
Lending Institution /~'../- /~ /, ~ ~'9~ ~;")¢ /Z~ / )(~J, C,'r¥~ ,~ ,~__. Phone
Address ~.~ -j- C j.-) t~?._C ~ .~c r- LJ~)F ~_~ ~--~ (_..~ ~. Zip Code
Phone
~ Zip Code
Type of Residence
[] Single Family
' Multiple Family No. of Bedrooms
Other
Water Supply
[] Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
,~ Communityc,z/'~ ~.~ j Cl.,.. ~.' For wells drilled prior to that date, give well depth (attach log if available).
[] Public Utility~' ~",/ "~'
Sewer Disposal
[] Individual Year Individual Installed:
,I .-~
When Connected to Public Utility:
Public Utility
Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time L c~
Date Date Date ~ Date _~ ~~
Insp~tor Insp~tor Insp~tor Insp~tor ~
Field Notes: ~ MUNICIPALITY OF ANCHO~GE
~~ DEPT. OF HE~,LTH ~
RECEIVED
( ~ ~OVED B~g~OO~S 'OONO,T,ONS O~ ~OW~
( ~ ~,S~mO~D
( ) CO~T,O~ ~OW~'
D~T~ ~ g ~
Soils Rating Date ~wer Inslalled Well To Absorption Area Well Log Received
Well to Tank Septic T~k Size
72.023 (3182}
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received December 17, 1975
Time of Inspection
Date of Inspection \~-
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
Alaska Bank of Commerce % Carolyn Barrera
Pouch 7012, 99510
Stephen F. Turner
3927 Bryant Ridge 99504
Phone:
Phone:
279-8686
3. Legal Description: Lot ll Block 23 Burlwood Terrace Subdivision
3927 Bryant Ridge, see map on back of request form
4. Location:
Be
e
Be
Type of facility to be inspected Duplex
Well Data: I~~.~~
A. Type
C. C o n s truc t i o n ~[l~t~U~L~
Sewage Disposal System: Public Utility
1. Size
A. Installed
C. Septic Tank:
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
Di stances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
No. of bedrooms
B. Depth 260'
D. Bacterial Analysis
B. Installer
2. Manufacturer
2. Material
, Absorption area
Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 'C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH &
ENVIRONMENTAL PROTECTION
DEC 1 ? 1975
RECEIVED
1. Type of Inspection: CMRO FHA
2.Property Owner:
7'
3. Name of Buyer: ~W ~
Mailing Address:
4. Uamp. of Lending Institution: ~~ ~ ~:: ~ ¢~
/ Mailing~ddress:~u~ '70/~ ~~.,/)~, ~/~ Phone
5. Name of Realtor or Agent: ~~'
Mailin~ ~ddress: Phone
VA
CONV ~
Day Phone,,~ / ~' -~/~ ? ~
Day Phone
Legal Description:
Location: ~
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply'
~a,/O~- ~.0(' No. Bdrms. y
Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well ,.~ ~
Sewage Disposal System
Type of System:
Public Utility
Individual (on-site)
If Individual, date of installation
LQ-037 (1/74)
Page 2 of two pages - Re. st for Approval of Individual y er & Water Facilities
Legal'Description Lot ll Block 23 Burlwood Terrace Subdivision
Comments
Approved ~_~ ~ ' ~' Disapproved Date ./~--
Ap~oval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and wa~er facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)
//~'~REATER ANC,ORAGE AREA BOROUGH
De.p~a~tment of environmental Quality
~~~/ Date of /nspectton, J~
~ ~EQUEST FOR APPROVAL OF
Aopro,,al Requested By:
Address:
a. Location: ._ ,.
5. Type of Facility to be Inspected: /{,t,, ..17 ( ~/~
Number of Bedrooms: .. ,
Phone:
Data:
.... l~ )~- ~- "'
,"' /' ~,: ~' d-- ' ,
Construction ~ /:'<,::~,- ~.,. D. Ba~teri~] Analysis
,, L( ,_ C.- ' ,
A. Installed
8. Installer
C. Septic Tank: 1. Size' 2. Manufacturer
D. Seepage Pit: 1. Size 2. Material
E. Disposal Field: Total Length of Lines
Distances:
A. Well To:
Septic Tank
, Nearest Lot Line
Foundation to Septic Tank
, Absorption Area
Absorption Area to Nearest Lot Line
, Other Contamination
"~ AbSorption Area
Sewer Lines
F~e~]e~t for Approval of In 'idual Sewer & Water Facilities
Page Two ~- --
9.
Comments:
A~ .
p?rova] Valid for One Year From Date Siqned
Greater Anchorage Area
DIAGRAM OF SYSTE~
I certify that the information contained in this request for'approval to be a true
and accurate representation of the subiect sewer and water facilities located at:
Signed Date
June 14, lg7g
Federal Housing Administration
Box 4~0
Anchorage. Alaska
Subject: Lot 11. Block 23, Burlwood Terrace Addttton tl
Dear Sir:
Public water is not available to the subject lot, the closest
water line being to the west across Boniface Parkway. If
this lot is connected to public sewer (Lateral Improvement
District ~40) and the well installed to Borough Specifications.
a safe supply of potable water should be assured.
Sincerely,
John g. Lee, E.S.
Senior Environmental Specialist
CC:
Stephan ;. Turner and Craig B. Leuthe
2914 East 42nd
Anchorage, Alaska 99514
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